Senior Coding Data Quality Analyst

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🕒 July 30

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

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Lehigh Valley Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• Develops, implements, and maintains a coding and reimbursement quality management plan at the network level. • Trains and educates coding and clinical staff. • Serves as a coding resource for the organization. • Performs coding, monitoring, and auditing activities providing individual, departmental, and topic related results according to established schedule. • Conducts formal education and training for staff on policies/procedures, coding guidelines, regulatory requirements, and work processes. • Provides feedback and develops educational action plans. • Establishes, implements, and maintains a formalized review process to support coding compliance. • Supports the manager in ensuring the completion of training of new employees and ongoing training of current employees. • Researches and responds to questions from the coding staff. • Evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation impacting code selection.

🎯 Requirements

• High School Diploma/GED • 4 years of experience in coding/abstracting of complex patient encounters. • Microsoft Office and presentation skills. • Medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation. • Knowledge of ICD-10-CM/PCS, HCPCs/CPT, modifiers, charge applications, and reimbursement methodologies (DRG, APC). • CCA - Certified Coding Associate AHIMA - State of Pennsylvania Upon Hire or CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or CPC - Certified Professional Coder - State of Pennsylvania or CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Professional development programs